Individual provider Active NPI

David H. Hoxworth, LCSW

  • Clinical Social Worker
  • Rolla, MO
National Provider Identifier
1215174875
Registry record updated Jan 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2006011039 Issued in MO
Practice address
404 Bill Ave
Rolla, MO 65401-3904
Phone
(573) 426-5616
NPI assigned
Jan 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2006011039 MO Primary

Addresses

Primary practice location

404 Bill Ave
Rolla, MO 65401-3904

Mailing address

404 Bill Ave
Rolla, MO 65401-3904
Phone (573) 426-5616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232236800000",
    "number": "1215174875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BILL AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013904",
            "telephone_number": "573-426-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BILL AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013904",
            "telephone_number": "573-426-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOXWORTH",
        "first_name": "DAVID",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-18",
        "last_updated": "2009-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006011039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.